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HomeMy WebLinkAbout34507-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 2/24/2012 CERTIFICATE OF OCCUPANCY No: 35457 Date: 2/24/2012 THIS CERTIFIES that the building DECK Location of Property: 925 North Sea Dr, Southold, SCTM #: 473889 Sec/Block/Lot: 54.-4-11 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/13/2009 pursuant to which Building Permit No. Lot No. filed in this officed dated 34507 dated 3/17/2009 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this cc~aificate is issued is: deck addition, pergola addition and window replacement to an existing one family dwelling as applied for. The certificate is issued to Mohammed & Vera Ahmadzadeh - iowNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4028774 8/31/09 ,' ' Aa'.~orized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34507 Z Date MARCH 17, 2009 Permission is hereby granted to: MOHAMMAD AHMADZADEH 105 HUDSON ST APT 9S NEW YORK,NY 10013 for : DECK ADDITION & WINDOW REPLACEMENT PER TRUSTEE & DEC APPROVALS AS APPLIED FOR; FLOOD PMT. INCL. at premises located at 925 NORTH SEA DR SOUTHOLD County Tax Map No. 473889 Section 054 Block 0004 Lot No. 011 pursuant to application dated FEBRUARY 13, 2009 and approved by the Building Inspector to expire on SEPTEMBER 17, 2010. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1 Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi'om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple rcsideaees and similar buildings and installations, a certificate of Code Compliance frcm architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing'' land uses: 1. Accurate survey of Preperty showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is den'.ed, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of CertifieateofOecupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. q////]/ New Construction: Location of Property: House No. Owner or Owners of Property: It'~)h 0 ~ ~ Suffolk County Tax Map No 1000, Section /')~ Subdivision Permit 575'0 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: (check one) Street Block O OOt-/ Date of Permit. ,~ lt-'l [1')~. Hamlet Otl Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~ (check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ NEW YORK, NY 10038 CERTIFIES THAT 40 FULTON STREET Upon the application of upon premises owned by COMPASS ELECTRICAL MO AHMADZDEH 925 NORTH SEA DRIVE 315 CLUBHOUSE CT SOUTHOLD, NY 11971 CORAM, NY 11727, Located at 925 NORTH SEA DRIVE SOUTHOLD, NY 11971 Application Number: 4028774 Certificate Number: 4028774 Section: 054 Block: 0004 Lot: 011 Buildin§ Permit: 34507 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in comptiance therewith on the31St Day of A.gust,20og. Name ~ Rathe Rating Circuits Twe Miscellaneous change oh to ug servicenew from meter pan out Service Service Disconnect: 1 200 cb Service 1Phase3w Service Rating200Amperes seal I of I This cer[ificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~)~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PEk,' ,.ATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.  [ ]INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING I/~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTAI(I' CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DONALD G, FELLER .ARCHITECT 11725 Main Rd · Box 1692 · Mattituc k. NY 11952 · 631.298 5453 · Fax 298 1380 October 12, 2009 Mr. Michael Verity Southold Town Building Department Southold, New York OCT 1320ffi BLI~ DEPT. TOWN OF SOUTHOLD Re: Pergola Construction at the Ahmadzadeh Residence 925 North Sea Drive, Southold, New York Dear Mr. Verity: In reference to the above mentioned project, I can certify that use of 12" long LPS structural screws, by GRK Fasteners, in place of Simpson Strongtie hangers, ers to beams. FIELD INSPECTION REPORT I DATE [ COMMENTS INSULATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved '3/ / ) ,20 g' ~' Disapproved a/c Expiration PERMIT NO. ,Yk//5~ 7~" BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit ontact~torm-Water Assessment Form Mail to:___ .a--~ / Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed xvithin 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~S~~S'i~ant or nam_e, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (A~'on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License Location of land on ,which proposed ,w?rk will be done: House Number Street County Tax Map No. 1000 Section 5.'t'/ Block Subdivision ,5o .z old Hamlet Filed Map No. Lot Lot l~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check ~vhich applicable): New Building Addition Alteration , Repair Removal Demolition Dther Work (Description) 4. Estimated Cost ///~ ~ ' .... Fee ~ ~ ~':' (To be paid on filing this application) 5. If dwelling, number of dwelling units i ~ .... Number o~dw~l Jhg units on each floor If garage, number of cars 6. If business, commercial or mixed occukanc:~: specify nature and e.xlent °leach type of use. 7. Dimensions of existing structures, if aflY:~-'c.~mt .¢'' ' , RearI Depth Height Number of Stories Dimensions of same structure with alterations or additions: F]ont Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which prmnises are situated 12. Does proposed construction violate any zoning law, ordinance or r~ gulafion? YES NO X l 3. Will lot be re-graded? YES __ NO X Will excess fill be remow,,d from premises? YES NO~/' 14. Names of Owner of premises Address__ Phone No. Name of Architect Address Phone No Name ofContractor~'~-~/l VI/IxY~Z'~ Address z~O,~7o°? ,, Phone No.'"7'~5' 5-7 7 15 a. Is this property within 100 feet ora tidal wetland or a freshwater ~etland? YES ~/ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT/S~M ~Y BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES %,/ biO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this proper:y? * YES__ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY O~ NO CONNE b. ~um, n Notary Public, State of New ~,~r No. 01BU6185050 Qualff ed in Suffolk Count~ , Commissioe Expires Aeri! ]4 26 ]g-.. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~'~0¥1 ~~t~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have pertbrmed the said work and to make and file tlfis application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the maturer set tbrth in the application filed therewith. Sworn to before me this~- ~ . Notary Public ~ ~f Applicant BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PE.RMI.~ T'NO. 6936 & 6936C DATE: AUGUST 20. 2008 ISSUED TO:: MO AHMADZAJ~EH PROPERTY ADDRESS: 925 NORTH SEA DR.~ SOUTHOLD SCTM/t~54-4ql AUTHORIZATION Pursuant to th6 pr°visiom of Chapter 275 and/or Chapter 111 of the Towh Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Auto,st 20.2008 in consideration of application fee in the sum of $500.00 paid by Mo Admadzadeh and subject the Terms and Conditions~as ~iated in th6 Resolution, t~e Southold Town Board of Trustees authorizes and the following: Wetland Permit and Coastal Erosion Permit to reconstruct the existing decking totaling 1,330 sr., a 192' sf.'deCk addition, and a 172' sf. deck addition, and as depicted on the survey prepared by John T. Metzger dated June 5, 2008. IN WITNESS WHEREOF, the said Board of T~u~tees hereby causes its Corporate Seal to be affixed. and these presents to be subscribed by a majority of the'said Board as of this date. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0724C Date: February 13~ 2012 THIS CERTIFIES that the reconstruction and additions, including one pergola to the existing decking attached to the dwelling At 925 North Sea Drive, Southold~ New York Suffolk County Tax Map # 54-4-11 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated July 3~ 2008 pursuant to which Trustees Wetland Permit #6936 Dated August 20~ 2008 and Trustees Coastal Erosion Permit #6936C Dated August 20, 2008 was issued and Amended on October 15, 2008 and again on October 21, 2009 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the reconstruction and additions, including one pergola to the existing decking attached to the dwelling The certificate is issued to MO AHMADZADEH owner of the aforesaid property. Authorized Signature NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738--03857/00001 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law EFFECTIVE DATE August27,2008 EXPIRATION DATE(S) August26, 2018 TYPE OF PERMIT · New D Renewal D Modification D Permit to Construct [3 Permit to Operate []Article 15. Title 5: Protection of Waters [] Article 17. TrUes 7. 8: SPDES [3 Article 27, Title 9; 6NYCRR 373: [] Article 15. Title 15: Water Supply [] Article 15. Title 15: WaterT~nsport [] Article 15, Title 15: Long Island Wells [3 Article 15, Title 27: Wil~.. Scenic and' Recreational Rivers [] 6NYCRR 608: Water Quality Certificatien [] Article 19: Air Pollution Control r-] Article 23. Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [3 Article 27. Title 7: 6NYCRR 360: Solid Waste Mana~lement Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19. 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO Mo Ahmadzadeh ITELEPHONE NUMBER (2121966-1806 ADDRESS OF PERMITTEE 105 Hudson Street, Apt 9S. New York N.Y. 10013 CONTACT PERSON FOR PERMITTED WORK Suffolk Environmental Consultin~l P.O. Box 2003, Brid~lehampton, N.Y. 11932-2003 NAME AND ADDRESS OF PROJECT/FACILITY ITELEPHONE NUMBER (631) 537-5198 Ahmadzadeh Property 925 North Sea Drive, Southold COUNTY I TOWN Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: IWATERCOURSE NYTM COORDINATES E: N: Reconstruct 1,330 square feet of decking, construct a 240 square foot deck addition; construct a 172 square foot deck addition. All work shall be done in accordance with NYSDEC plans stamped approved or 8/27/08 and prepared by John T. Metzger on 6/5/08. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified and any Special ConditionS included as part of this )ermit. DEPUTY PERMIT ADMINISTRATOR: Susan V. Ackerman (CAF/ AUTHORIZED SIGNATURE IADDRESS Region 1 Headquarters SUNY ~ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 August 27, 2008 Page 1 of 4 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook NY 11790 - 3409 Phone: [631) 444-0365 · FAX: (631) 444-0360 - Website: www.dec.state.ny, us PERMIT MODIFICATION Alexander B, Grannis Commissioner November 4, 2008 Mr. Mo Ahmadzadeh 105 Hudson Street Apt. 9S New York, NY 10013 Re: Permit ~-4738~03857/00001 925 North Sea Dr., Southold Dear Permittee: The Department of Environmental Conservation (DEC) has reviewed your request to modify the above referenced permit in accordance with the Uniform Procedures Regulations (6NYCRR Part 621). It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is hereby modified to authorize: Construct an additional 126 ft. deck. All work shall be done in accordance with NYSDEC plan stamped approved on 11/4/08 and prepared by John T. Metzger on 6/26/08, last revised on 6/26/08. This letter is a modification to the original permit and must be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. CAF Permit Administrator cc: Suffolk Environmental Consulting, Inc. Town of $outhold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOR:.". O PROPERTY LOC TION: .C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SURM!$$1ON OF A I, STO"'*WA 'G"D'NG.D , EAROE.OS,ONCO OL. : District ~lon B~ok L~ G~kl ~IED BY A DESIGN PROF~SI~NAL IH ~E STATE OF NEW YOpK- Item Num~n (NO~: A Che~ Ma~ (~) ~ each Ou~fl~ is Requi~ f~ a Complete ~i~tion) Ye~ N~ 1 Will this Project Retain All SIon'n-Watar Run-Off Genemtad by a Two (2") Inch Rainfall on Site? ~-- (This item will include all mn-off creatad by site clearing end/or construction activities as well as all Site Improvements and the permanent creation of impe~tioes surfaces.) 2 Does the Site Plan and/or Supvey Show All Proposed Drainage Structures thdiceting Size & Location? ~ This Item shall include all Proposed Grade Changes and Slopes Ceettolfing Surface WaterFIowi 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural O Existing Grade Involving more than 200 Cubic Yards Of Mataria with n any Pamel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of [~ Five Thousand (5,000) Squara Feet of Ground Surface? 5 Is there a Natural Water Coume Running through the Site? r~ is ihis Project within the Trustees jurisdiction or within One Hundred (100') feet of a We and or Beach? 6 Wig them be Site preparation on Existing Grade Slopes which Exceed Ftiteen (15) feet of Vertical Rise to r~ one Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Imperious Surfaces be Sloped ID Direct Storm-Water Run~3ff r~ into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material; Removal of Vegetation and/er the Construction of [~ any Item Within the Town Right-of-Way or Road Shoulder Ama? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100 Year Floodplain of any Watercourse? r~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permltl EXEMPTION~ Does this project meet the minimum standards for claesificet/on as an Agricultaml Project? Note: ~fY~uAnsweredYest~thisQuesti~n'aSt~rm~Water'Grading'Drataage&Er~s~~nC~ntr~~P~an~sN~TRequ~red~ Yes No STATE OF NEW YORK, _.~ ~/~- ' --,COUNTY .......... ss ThatI '.....~../~TK~ .~......~...~..~.,.~J~-) ....... ' dui sworn de ........................................................ ~ y , ~s~ ~d says ~at h~she ~ ~e app~t for P~ (Name ~ i~Mdual s~n~ O~t) CONNIE D. BUNCH ~d ~at he/she is ~e N~ Public, ~ d N~ ~r~ ........................................................................................................................ ~.~50 ............. (~er, C~, Agent, Co~ ~r, ~c.) Oualfl~ in S~[~n~ '~'" · ~mmissi0n ~i~ April 14, 20~ O~er ~or rep~enmave of ~e O~er of O~er's, ~d is duly au~ohzed to perform or have peffo~ed ~e s~d woA ~d m m~e ~d file ~s appli~fion; ~t ~1 satemen~ con'ned in ~is application are ~e to ~e b~t o[~s ~owle~ ~d ~liefi ~d ~t ~e work will be peffom)ed in ~e m~ner set [o~ in ~e application flied here~. Sworn to ~fore me ~is; FORM - 06/07 TOW~ CLE1RK O[;'17IC~ 0[;' TH'~ TOWIN CIoERI( TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING 14ELD ON AUGUST 211, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2} new forms to be used under tt~e Flood Damage Prevent regulations of the Code of the Town of Jouthold: "Floodplain Developmen3 Permit Application" {FDP{93)], /had "Certificate of Compliance Special Flood Hazard /(real (C/C(93)}. for Development in BLDG. row %Sou Southold Town Clerk August 25, 1993 TOWN OF SOUTHOLD APPLICATIOh; PAGE FLOODPLAJN DEVELOPMENT PERMIT APPLICATION This form is fo be filled out in duplicate. SECTION I: GENERAL PROVISIONS (APPL[CAN¥ to read and 1. No work may start until a permit is is~sued. 2. The permit may b¢ revoked if any fa~¢ statement~ ate made herein_ 3. Il- revoked, all work must cease until permit ix re-issued. d. Dev¢lopmeat shall not b¢ wed or occupicd until a CertLqcate of Comptianc~ ix i~ued. 5. The permit will expire if i~o work is commenced within sbt month5 of issuance. 6. Applicant is hereby [aJ'ormed that other permits may be requked to fullTJl loc:d, state a~d federal regulatory rexlulrements. 7. Applic,mt hereby gives consent to the Local Admbbtrator or his/her representative to make ieasonab[e inspections requlrcd to verify compllanc~. 8. I, THE APPLIOdUWF, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACId_MI~NTS TO SECTIgN 2: PROPOSED DEWELOPMEfdT~-~o_ be com32[etcd by AEPLICAZ,'T} NAME A_DDR F~SS TELIZPHONE , PUCAm .o /lao C'z.o BUILDER EN G [NE ER PROJECT L00~T~Oj'q: To ~void delay io pr'occ, xsing thc appUcatio~, please provide enough information to easily identify the project location. Provide the street addr~s, lot number or legal description (attach) and, outside urban areas, the distance to the near~s.t inters¢ctEng road or well-knovm [~dmawl< A sgctch attached to ~ application showing (he projcd IocalJoo wouhl be belpfl~l FDPf9]) APPLICATION PAGE 2 OF a DESCRIPTION OF WORK (Check all applicable boxes): A STRUCTURAL DEVELOPMENT ~CTIVITY [] New Structure [] Addition [] Alteration [] Relocation lEI Dcmdtidon .~ Replacement ,.qTRUCTU RE TYPE RReslden6al (1-4 Fmmily) esidential (More than 4 Family) [] Non-residential (IFloodproo£mg7 [] Yes) [] Combined Use (Residential & Commercial) [] Manufactured (Mobile) Home (In Manu- factured Home Park? [] Yea) ESTINLATED COST OF PROJECr I, ~0/0{~}"0 / B. OTHER DEVELOPMENT ACTIVITIES: [] Fill O Mining [] Drilling O Grading U1 No:ca,ration (Except for Structural Development Checked Above) [] Watercourse Alteration (Induding Dredging and Chasmel Moderation) ~ Drainage Imptovementx (Including Culverl Work) [] Road, Street or Bridge Cottstructiou C1 Subdi',islon (New or Ezpaasiou) [] individual Water or Sc.w¢~ System [] Other (Please. Spedfy) comp et ng SECTION 2, APPLIC~,~FFI' should submk form to I oc~d AdmMistrator for rcvS¢,.v ~EC'TION 3; F'LOODI'UAIT{ DETERMINATION (To bc completed by LOCAL ADMIHI~'I'IIATOR)_ Thc proposed development is Ioc~.ced on HI:GM Panel No.__ .... Dated ........ : __. The Proposed Development: [] I~ NOT located b a Special Hood Hazard Area (Nati[7 the appLicant that the appLicatiau review ii complete and NO FLOODPLAIN DEVELOPMENT PERMJT IS REQUIRED). 0 1~ located ia a Special Flood Hazard Area. FIRM z. one designation i~ I00 Year flood elevatiou at thc site i5: Fi NGVD (MSL) 0 U uavailablc 0 The pfopoxcd dc'~clupcnem k. k)cated in a fluudway: ['BFSM Panel No Dated SIGNED DA'IE ........ APPLICATION PAGE 3 OF 4 ,_SECTION 4 ADDITIONAL INFORMATION R~OUIRED T~(~.c completed by LOCAL ADMINISTRATO__~ Thc applicant must submit thc documems checked below before thc application ca~ bc processed: A site plan sbov4ngtbc [ocatior~ of MI cX~Stkng structures, water bodies, adjaccut roads, lot dimensions and proposed development. [] Development plans, drawn LO scale, and spedficaticns, iodudmg where applicable: details for ~choring structures, proposed elevation of lowest floor (including b~¢meut), types of water resbtznt materials used below thc, l~ust floor, details o( floodproofmg of udhties Idea ted be,low the £ust floor ~d details of caclosnses below thc [u-st floor. Abo, Subdivision or other dc,vctopmc,nt plans (If thc subdivision or other developmem exceeds 50 hots or 5 acres, whichc,ver is the lesser, the appticam must provide 1.00-yeax flood ¢levatio~,s hr thc), arc not otherwise available). El Pta.as showktg the extemt of watercom-se relocation and/gr laz~dlorm alterations. Top of new fill elevation Ft. NOVD (MSL). Hoodproo£mg protection level (ada-residential ordy) Ft.' HGVD (MSL). For floodproofed structures, applicant must attach certilicatio, from registered eagLacer or rachitcct. / / Cc,rtification from a reg/stc,red ca~.ueer that thc, propo~c/d adivic7 ia a regulatory floodway will not re.suit in a~7 it,crease La the. height of cbc. 10d-year flood. A copy of all data and caJcnlations su?portlng this finding mu~t also bc submitted. [] Other: SECTION 5: PERMIT DETI~;RMIHATIOh[ FFg~2~ complcted bY LOCAL AI]MIHI~I'IRAT~B) [ have determined that the proposed activity. A. El I~ B. UJ Is not La coafotTaance wi~ provision~ of Local Law ~ , 19 attached to and made p~rt of this permit. SIGHED , DATE . Thc permit ~s L~ued subject to thc, conditions, 1'~ BOX~A i~£hec~kcd, thc [~3ca] Admirfistralor may issue a Development Pcrmk upon pa~nca[ of dcsi~atcd f.~ If BQ~ ~ i~ chcckc~, thc ~cal Administrator '¢~1 provide a w]Utcn summon7 o( dcficicnocs. Appli~nt may re,sc and resubmit an application m ~l~c t deal Administrator or may request a bearing [rum Ibc Bo~d of AppeMs. APPF~4,_L3: Appealed to Boazd of Appeals? © Yes © No Hearing date: Appeals Board Dcci4ior~---Approvcd? C3 Yc~ CoadJlious © No APPLICATION PAGE ~ OF 4 ~EqTrl0N6: A~-BUILT ELEVATIONS (To bc submilled bvAPPblCM'U'before CcrtLficatc of Cgmpliance b issued/ The follaw/ng infarma6on must bc prey/deal for proiec[ structures_ ~Dds secdoa must be completed bY a registered professional engineer or a ficeased land sttrveyar (or at~ach a certifica6on to this application). Complete I or 2 below. Actual (Ax. Built) Elevatioa of the top of the lowest floor, including basement (in Coastal Hi,Ih Haze'rd Areal, bottom of lowest structural member of the lowest floor, exdudlug piling and colttmns) is: Elevation of floodproo£mg prot¢ctioa is FT. NGVD (MSL). NOTE: .,Mly vmrk performed prior to submittal of thc above information b at thc risk of the Applicant. ~ECTIOH 7: COIM?LIANCE ACTION rte bc~com_p?~L~l~9~CAL ADMINISTRATOR) The LOCAL ,&DM[NIS-I~LATOR will complete tkLs section ax applicable based olt i~pcctiou of the ploj¢ct to ensure compliance with thc commtmit)es local law for flood damage prevention NSp~E(7I'IO N.~f DA'IT BY DEFIC[ENICIES? U] YES [] NO DA'IT_ BY DEFICIEblCEES? UI YES U] NO DATE BY DEFICLENCIF_S? U} TES [] NO SECTION [h CERTIFICATE OF COMPLIAN EC,2gJ~ tpe c0mple{ed bY LOq:AL ADMINIS~TRATOR~ CmrtW~cate of Compliance issued: DATE: BY: Attachment B ~AMPLE CERTIFICATE OF CO~PLIiANCE f©r Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD tl~ Afl. gA (OVSrt'~ER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: [] NEW BUILDING [] EXISTING BUILDING C] VACANT LAND Tile LOCAL ADMINIS'IT. ATOR [$ TO COMPLETE A. OR B. BELOW: COMPLIANCE iS tfEF.~£BY CERTIFIED W1TIt THE tLgQUIREMENTS LOCAL LAW # i 19 SIGNED: DATED: COMPLIANCE IS HE[CEBY CERTIFIED WITH ~I5tg ICEQUItLEMENTS LOCAL LAW #__, 19__, AS MODIFIED BY VARIANCE DATED SIGNED: DATED: O F OF C/C{93) Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, New York 11971 0959 Telephone (6311 765 1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 28, 2000 Ron Morizzo Kitchens & Baths PO Box 789 Southold, NY 11971 RE: Ahmadzadeh, 925 North Sea Drive, Southold TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed)~ Electrical Underwriters Certificate. '""Nj A fee of $25.00 ~ Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 34507-Z alterations and deck Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone (63 I) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD August 8, 2011 Pon Morizzo Kitchens and Baths PO Box 789 Southold, NY 11971 Re.' Ahmadzadeh, 925 North Sea Dr., Southold TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. A fee of 50.00. __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) / Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 34507- alterations and deck Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (63 l) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 20,2011 Pon Morizzo Kitchens and Baths PO Box 789 Southold, NY 11971 Re: Ahmadzadeh, 925 North Sea Dr., Southold TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ///A fee of $25.00. (Outdated check enclosed) ~. - ~,~ - '/Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 34507 - Alterations and deck __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) TOWN OF SOUTHOLD pROPERTY. RECORD CARD OWNER FORMER OVeN,ER RES. LAND Farm Tilloble 1 Tillable 2 Tillable. 3 Woodland Swampland Brushland NORMAL Acre VL. FA~ TOTAL DATE BUILDING ,C, ON~; I~0, BELOW Value Per Acre HoUse Plot Tota I ABOVE Value VILLAGE \ DISTRICT SUB. L,~ ~ · TYPE OF BUILDING COM~.i IND. I CB. t MISC. LOT ' t ' f M. Bldg. Extension Extension Extension Breezewa' Garage F~Sundatlon Ext. Walls Fire Place Porch Porch Patio ': Driveway Bat~ Floors Interior Finish He~ Attic Rooms 1st Floor Rooms 2nd Floor 875.00' LONG, I~LAND SOUND N'~'~'o,v~_~ ~ ,,~ ~ - - ~. ~i~0.29' SURVEY OF PROPERTY A T SOUTHOLD TON;N OF SOUTHOLD SUFFOLK COUNT~, N.Y. 1000-54-04-11 SCALE' i'=30' JUNE 5, 2008 JUNE 26, 2008 [revisions) OONORETE ~ I ST~. FR. HSE. F.F. EL. 10.4' +7.7' ---- -__Co~_- ZONE AE .~ (el 11) +~.s' ' S$9'24'00'W 100.00' - 6~e~ ~,Rgs LOT COVERAGE AREA = 26950 sq. fl. to beoch EX/STING HSE. & DECKS = 2994 sq. ft SHED = 180 sq. ff. ,~174 sq. lL . 3174126950 = II~8 ~ AFTER CONSTRUCT{ON = 3625 sq.//. AREA TO COASTAL EROS/ON HAZAR£ LINE =45(20 sq./t. LOT COVERAGE = 0% HAZARd"LiNE NORTH SEA DRIVE PUBP IC ~/A TER ' IN STREET ANY ALTERATION OR ADDITION TO THIS SURVEY IS A V/OLA170N OF SECTION 7209OF THE NEW YORK STA;TE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDII~SION 2. ALL CERTIFICA lIONS HEREON ARE VAJJD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IWPRE'~ SEAL OF THE SURVEYOR WHOSE ,giGNA71..IRE APPEARS HEREON. COASTAL EROS/ON HAZARD LINE FROM COASTAL EROSION HAZARD MAP PHOTO /t 56-566-83 FLOOD ZONE FROM FIRM mAP NO..,~03C01~54 G MA Y 4, 1998 ,~,Z~,~ r'.,'; ~.~7 , i ~-'~. ~- ~,~. ~.~ ~L~V~ nONS O~F~O~NC~O TO ~ ~" ' ' '~'~:: ?' ~ I ' 7~d~' ~?' ~ b¢CONIC S¢~ybR~;]. ' · P.O. BOX 909 ~-%~o. ,~ ~. ~'~ sOUrHO~O, N.'~ ~:.~- LONO ISLAND SOUND SURVEY OF PROPERTY' A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-54-04-11 $OAI, p,: 1~$0' JUNE 5, 2008 / zOnE ~- / ~ (~ I~) APPROVED AS PER TERMS AND CONDi¥10~S OF LOT COVERAGE AREA = ,26950 sq. It. to beach EXIST/NE HSE. & DECKS = 29,94 sq.f! SHED = 180 sq. fI. $174 sq./l. 3174/26950 = 11.8 % AFTER CONSTRUCT/ON = 3505 sq. II. 3583/26950 =13.3 % AREA TO COASTAL EROSION /dAZARD LINE =4500 sq. fk LOT COVERAGE = 0% ~ ZOOE AE .~ S39'24'00'W 100.00" EROS/ON L/NE NORTH SEA DPOIzE COASTAL EROSION HAZARD LINE FROM COASTAL EROSION HAZARD MAP ~HOTO ~ 56-566-82 PUBLIC ~/A TER IN STREET ~,.,,.,,....,,~ ., FLOOD ZONE FROM FIRM MAP,~¢~6~~# O ELEVA nONS REFERENCED ~'O. ~.'P,,~O'~ ~1' \ ANY ALTERAOON OR ADDITION TO ~IS SUR~Y IS A ~OLADON ~lCONIC SU~~-~/~% ] OF SEC HON 72090F ~E NE~ YORK S TA~ EDUCA HON LA~ ~Z1) 7~.~ .~ ~--17¢7 EXCEPT AS PER SECDON 7209-SUBDI~SION 2. ALL CERHFIOAHONS ~-~'/~-~~~--' HEREON ARE VALID FOR ~IS MAP AND COPIES ~EREOF ONLY IF ~' ~' ~uA ~ ~ ~ - SAID MAP OR COPIES BEAR ~E IMPRESSED SEAL OF ~E SUR~YOR 1250 TRA ~LER S~~ ~OSE S/ONA~RE APPEARS HEREON. SOUTHOLD, N ~ 11971 02/13/2009 15:11 16317656196 RON MORIZZO KITCHEN PAGE 01/01 MORIZZO Kitchens 8, Baths Complete Kitchen & Bath Remodeling · DESIGN · SALES . INSTALLATION SHOWROOM: North Road Commons, Unit 19 22355 Route 48, Cutchogue, NewYork 11935 P.O. Box 789. $outhold, NewYork 11971 Phone: 631-765-$772. Fax: 631-765-6196 February l3,2009 Re: Mo Ahmsdzdeh residence 925 North Sea Drive Southold, NY I 1971 To Whom it May Concern: We at Ron Morizzo Kitchens and Baths are removing Anderson ",v:i:,~dows in the Kitchen, Living Room, Dining Room and Master Bedroom. We are replacing the above with Ander~n storm guard windows ~t. nd doors. Total of 3 sliding doors and 8 windows. ank You~ Ron ~ - - ~ ' 0 0~- ~ ' ~ ~=' ' I ~ ! ~ FOR )URED CC, qCRETE I ~ Z ROU( ~ ~ ~ ' ~ 4. FINALi CONSTRUCTION MU~T ~ II~ : ;~ ALL COb ~TRUCT[ON SHALL MEET THE I I ~ ~, REQUIR[ MENTS OF THE CODES OF NEW ~ I m~'° , - ~ ~ ~ YORK S' ATE. NOT RESPONSIBLE FOR ~ -~ : BESlGN , ~ ' ~ I: I PUl ~UA~ ~ CHAPT~ 236 :~ k ' ' ir ~LC~STR TIONSHAkL ~ ~ ~ ~ ~ I ~- L ~ ~ ~ ~-' MEET THE REQUIREMENTS 0~ ~' ;I , ~ _~ ~ .... oo~so~.~o~,~'}'~ ~ -~ ~o - ' ' - ~ ~' ~ ...... .-- _~ } I ~ ' I ~ s ~= ~,~, ~=~-~ ~ OOCUPANCYOR _ -~ ~ ~,/~. ,.,..~-, ~-~=. - iS UNLAWFU~ . - . .. ~ K-~"~ -~,-~ W~T~OU~ C~R~C~r~ 4 z'-o" 5 ~- -~ OF OOOUPANOY ~ --~_ ,~,, ' --c % ~ ~ ~ ~ ~ '/z" ~-- '~